Individual
NATHAN P BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1001 LYNCH ST, SAINT LOUIS, MO 63118-1818
(314) 535-5600
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022003328
MO
101YP2500X
Professional Counselor
Primary
2025027059
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2019
Last updated
03/19/2026
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